Organization Active NPI

Kong Du

  • Other Technician
  • Castro Valley, CA
National Provider Identifier
1497275085
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
KONG DU
Practice address
20406 Redwood Rd Ste a
Castro Valley, CA 94546-4317
Phone
(510) 731-0888
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cynthia Du
Title
Co-Owner
Phone
(510) 676-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

20406 Redwood Rd Ste a
Castro Valley, CA 94546-4317

Mailing address

20406 Redwood Rd Ste a
Castro Valley, CA 94546-4317

Other names 1

  • Lice Clinics of America - Castro Valley Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1497275085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20406 REDWOOD RD STE A",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20406 REDWOOD RD STE A",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464317",
            "telephone_number": "510-731-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONG DU",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "510-676-3272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lice Clinics of America - Castro Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.